Dr. Blake Cooper Corcoran
Family Doctor Family Doctor - Sports Medicine
1125 Se Washington St.
Pullman
, Washington 99164
Dr. Blake Cooper Corcoran
Family Doctor Family Doctor - Sports Medicine
1125 Se Washington St.
Pullman
, Washington 99164
(509) 335-6223
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Blake Cooper Corcoran
- 1125 Se Washington St.
- Pullman, WA
- Zip : 99164
- Fax : (509) 335-6223
- Phone : (509) 335-3575
Second Address
- Dr. Blake Cooper Corcoran
- 1125 Se Washington St.
- Pullman, WA
- Zip : 99164
- Fax : (509) 335-6223
- Phone : (509) 335-3575
Reviews
FAQs
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Is Dr. Blake Cooper Corcoran a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD458625 | PA |
| N | 207Q00000X | Family Doctor | MD600771757 | WA |
| N | 207QS0010X | Family Doctor - Sports Medicine | MD458625 | PA |
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD60771757 | WA |
National Provider Identifier
| NPI | 1235490038 |
|---|---|
| Provider Name | Dr. Blake Cooper Corcoran |
| First Address | Pullman, WA 99164 |
| Second Address | Pullman, WA 99164 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2012 |
| Last Update Date | 14/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.